Home » Review: History and physical examination can accurately identify migraine and the need for neuroimaging in patients with headache

TITLE

Review: History and physical examination can accurately identify migraine and the need for neuroimaging in patients with headache

AUTHOR(S)

Chessman, Alexander W.; Detar, D. Todd

PUB. DATE

January 2007

SOURCE

ACP Journal Club;Jan/Feb2007, Vol. 146 Issue 1, p23

SOURCE TYPE

Academic Journal

DOC. TYPE

Article

ABSTRACT

The article discusses a research study regarding the diagnosis of migraine, and tries to identify the accurate diagnostic techniques. The study was conducted by researcher M.E. Detsky and colleagues. The physical examination of patients suffering from headache helps to identify whether he needs neuroimaging treatment or not. Neuroimaging is an effective treatment for curing intracranial abnormality in patients.

The authors report that migraine can accurately be diagnosed with the presence of four of five features which can be obtained from the history and physical examination of patients. The predictors are summarized by the mnemonic POUNDing (Pulsating, duration of 4 to 72 hOurs, Unilateral, Nausea...

The article presents a study which examines the role of clinical parameters and noncontrast magnetic resonance imaging (MRI) scan of brain to predict neurologic deficits in patient presenting post hanging. The study includes 19 cases of hanging victims in which clinical parameters were collected...

Focuses on how to conduct a neurological examination. Areas that baseline neurological examination assesses; Assessment of the level of consciousness; Information on how to evaluate pupillary response; Signs of decorticate posturing and decerebrate posturing. INSET: Adapting your exam to your...

The newly released version of the Global Burden of Disease (GBD 2010) ranks migraine between the most disabling diseases, the first among neurological ones, with a two-fold increase with respect to the previous GBD 2000 version. Almost 3 % of worldwide disability attributable to a specific...

Describes a systematic approach to the diagnosis of migraine and gives an overview of the International Headache Society (IHS) headache classification system. Headache classification; Presentation; Types of headaches; Characterization of migraine and other types of headaches; Evaluation;...

Abstract In order to establish the usefulness of EEGs for the diagnosis of headache in children and adolescents, we retrospectively reviewed the records of 425 patients referred to our Paediatric Neurology Service because of recurrent headache. EEG was recorded ictally in 40 patients and...

Discusses research being done on the use of children's drawings of headache pain in diagnosing migraine. Reference to study by C.E. Stafstrom and colleagues, published in the March 2002 issue of the journal 'Pediatrics'; Information on the study population; Results and discussion.